Cleopatra McGovern, MD
Individual provider Active NPI Family Medicine Physician · Washington, DC
NPI 1346773587 · NPPES record last updated Nov 22, 2021
Key facts
- NPI
- 1346773587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD048668 (DC)
- Practice address
- 4 Atlantic St SW
Washington, DC 20032-2350 - Phone
- (202) 540-9857
- NPI assigned
- Apr 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community of Hope, Inc
Practice addresses (Care Compare)
4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 407-7747
Hospital & facility affiliations
- Professional Healthcare
- Medstar Washington Hospital Center
- George Washington Univ Hospital
- Howard University Hospital Corp
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201021002369 | DC | Practitioner - Family Practice | 3476899246 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community of Hope Inc. | Current |
Accepting new patients | |
| Community of Hope, Inc. | Current | Accepting new patients | |
| Community of Hope Inc. | Current |
Accepting new patients |
Locations
2155 Champlain St NW
Washington, DC 20009
Phone (202) 407-3080
4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080
Interoperability endpoints
- cleopatra.mcgovern@coh.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD048668 | DC | Yes |
Addresses
Primary practice location
4 Atlantic St SW
Washington, DC 20032-2350
Mailing address
4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 540-9857
Other practice location 1
1824 Madison Ave
New York, NY 10035-3832
Phone (212) 423-4500
NPI Registry JSON
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1346773587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ATLANTIC ST SW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200322350",
"telephone_number": "202-540-9857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 ATLANTIC ST SW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200322350",
"telephone_number": "202-540-9857"
}
],
"practiceLocations": [
{
"address_1": "1824 Madison Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100353832",
"country_code": "US",
"telephone_number": "212-423-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGOVERN",
"first_name": "CLEOPATRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-05",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD048668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
- Michael Bernard McGinnis
- Dana Winston McGinty
- Jeannine McGivney
- Chardonnay Arleane Diane McGlothen
- Keanan McGonigle
- Jessica M McGovern
- Kevin Michael McGowan
- Lisa M McGowan
- Darcy McGrail
- Kevin McGrail
All providers in Washington, DC · Family Medicine Physician in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.